| NPI | 1144632316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60981620) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MD R181617) |
| 363L00000X Nurse Practitioner (Licence: SC 21371) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60981620) | |
| Enumeration Date | 2014-05-22 |
| Last Update Date | 2022-02-05 |